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[Endourologic complication: endourologic resolution]

G Butori1, J I Iglesias Prieto, J M Mancebo Gómez

  • 1Unidad de Urología, Clínica La Luz, Madrid, España.

Archivos Espanoles De Urologia
|September 1, 1996
PubMed
Summary
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An uncommon complication during double-J catheter removal after ESWL in a solitary kidney patient was successfully managed using endourological techniques, highlighting the efficacy of these minimally invasive methods for resolving such issues.

Area of Science:

  • Endourology
  • Urology
  • Nephrology

Background:

  • Management of renal stones often involves procedures like extracorporeal shock wave lithotripsy (ESWL).
  • Indwelling ureteral stents (double-J catheters) are commonly used post-procedure.
  • Complications can arise during stent removal, necessitating prompt intervention.

Observation:

  • A patient with a solitary right kidney presented with a radiolucent renal stone and an indwelling double-J catheter.
  • During removal of the double-J catheter after ESWL, it fractured, leaving a significant portion within the ureter.

Findings:

  • The fractured double-J catheter was successfully retrieved using ureteroscopy.
  • Multiple attempts involving ureteroscopy and percutaneous nephroscopy were required for successful removal.

Related Experiment Videos

  • This case highlights an uncommon endourological complication and its resolution.

    • Implications:

    • Endourological methods are effective in managing complications arising from ureteral stent removal.
    • Minimally invasive techniques offer a viable solution for complex intraureteral foreign body retrieval.
    • This approach minimizes morbidity and preserves renal function, especially in patients with solitary kidneys.